Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DOREEN WALLACE
ActiveAddiction (Substance Use Disorder) Counselor · RANCHO CORDOVA, CA
Registration Details
- NPI Number
- 1467600999
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 9, 2008 (17.656219695263 yrs)
- Last Updated
- Sep 9, 2008
Practice Information
- Address
-
2801 ARAMON DRRANCHO CORDOVA, CA, 956704803Browse CA providers · Browse ZIP 95670
- Phone
- 9163612089
- Fax
- 9163612091
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in RANCHO CORDOVA, CA
| Name | Credential | NPI |
|---|---|---|
| MS. BEVERLY SUSAN YOUNG | CAS | 1902913536 |
| CHRISTINA LYNN CUSODIO | — | 1265529606 |
| NAOMI SARAI RAMOS | BSW | 1053485011 |
| TERELL GIVESN | — | 1316168891 |
| ROBERT D WOOLF | — | 1053507640 |
| MARQUISE D MINNER | — | 1548419070 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.